15 research outputs found

    Androgen receptor gene status in plasma DNA associates with worse outcome on enzalutamide or abiraterone for castration-resistant prostate cancer: a multi-institution correlative biomarker study.

    Get PDF
    Background There is an urgent need to identify biomarkers to guide personalized therapy in castration-resistant prostate cancer (CRPC). We aimed to clinically qualify androgen receptor (AR) gene status measurement in plasma DNA using multiplex droplet digital PCR (ddPCR) in pre- and post-chemotherapy CRPC.Methods We optimized ddPCR assays for AR copy number and mutations and retrospectively analyzed plasma DNA from patients recruited to one of the three biomarker protocols with prospectively collected clinical data. We evaluated associations between plasma AR and overall survival (OS) and progression-free survival (PFS) in 73 chemotherapy-naïve and 98 post-docetaxel CRPC patients treated with enzalutamide or abiraterone (Primary cohort) and 94 chemotherapy-naïve patients treated with enzalutamide (Secondary cohort; PREMIERE trial).Results In the primary cohort, AR gain was observed in 10 (14%) chemotherapy-naïve and 33 (34%) post-docetaxel patients and associated with worse OS [hazard ratio (HR), 3.98; 95% CI 1.74-9.10; P A (p.L702H) and 2632A>G (p.T878A)] were observed in eight (11%) post-docetaxel but no chemotherapy-naïve abiraterone-treated patients and were also associated with worse OS (HR 3.26; 95% CI 1.47-not reached; P = 0.004). There was no interaction between AR and docetaxel status (P = 0.83 for OS, P = 0.99 for PFS). In the PREMIERE trial, 11 patients (12%) with AR gain had worse PSA-PFS (sPFS) (HR 4.33; 95% CI 1.94-9.68; P < 0.001), radiographic-PFS (rPFS) (HR 8.06; 95% CI 3.26-19.93; P < 0.001) and OS (HR 11.08; 95% CI 2.16-56.95; P = 0.004). Plasma AR was an independent predictor of outcome on multivariable analyses in both cohorts.Conclusion Plasma AR status assessment using ddPCR identifies CRPC with worse outcome to enzalutamide or abiraterone. Prospective evaluation of treatment decisions based on plasma AR is now required.Clinical trial number NCT02288936 (PREMIERE trial)

    Estudios de Caso sobre Ciencias Agropecuarias y Rurales en el siglo XXI.

    Get PDF
    Libro cientĂ­fico sobre estudios de casos en el medio agropecuario y ruralCon el advenimiento del siglo XXI y el avance de los procesos de globalizaciĂłn, el medio rural presenta diversos cambios econĂłmicos, sociales, polĂ­ticos y culturales. Lo anterior significa que el campo es un objeto de estudio altamente dinĂĄmico, complejo e inasible. las ciencias agropecuarias y rurales, en la actualidad, requieren de un abordaje sistĂ©mico e interdisciplinario que den cuenta de la heterogeneidad de situaciones y contextos que enfrenta el campo mexicano. La presente obra agrupa 18 estudios de caso, que capturan algunas fotografĂ­as de las diversas problemĂĄticas de la ruralidad mexicana, con lo cual se pretende dar cuenta tanto de los objetivos de estudio como de la perspectiva teĂłrico metodolĂłgico desde que estos son abordados. lo anterior tiene que ver con el hecho de que las ciencias agropecuarias y rurales manifiestan un alto grado de observaciĂłn empĂ­rica, motivo por el que los estudios de caso se convierten en la perspectiva metodolĂłgica idĂłnea que permite ir y venir de la realidad a la teorĂ­a y viceversa para la construcciĂłn de objetos de estudio. En este volumen se aborda una gran diversidad de casos, que sintetizan la heterogeneidad de enfoques y perspectivas mediante las cuales los fenĂłmenos agropecuarios y rurales han sido abordados en el Instituto de Ciencias Agropecuarias y Rurales de la Universidad AutĂłnoma del Estado de MĂ©xico, en los Ășltimos 30 años

    A la croisée de la division cellulaire et de la différenciation cellulaire : rÎle de Seh1 dans les cellules souches embryonnaires de souris

    No full text
    Les complexes des pores nuclĂ©aires (NPCs) sont des larges structures macromolĂ©culaires ancrĂ©es dans l'enveloppe nuclĂ©aire, et composĂ©es d'environ 30 protĂ©ines diffĂ©rentes appelĂ©es nuclĂ©oporines ou Nups. Au-delĂ  de leur rĂŽle critique dans le transport des molĂ©cules, les NPCs participent Ă  une grande variĂ©tĂ© de processus biologiques, tels que la division cellulaire, l'organisation de la chromatine et la rĂ©gulation de l'expression des gĂšnes. Le principal sous-complexe structural des NPCs est le complexe Y-complexe, qui est composĂ© de 9 nuclĂ©oporines distinctes. Le Y-complexe est aussi localisĂ© aux kinĂ©tochores pendant la mitose oĂč il rĂ©gule la congression et la sĂ©grĂ©gation des chromosomes. Une nuclĂ©oporine de ce complexe, Nup133, a Ă©tĂ© impliquĂ©e dans le dĂ©veloppement embryonnaire de la souris. Nup133 n’est pas requise pour la survie des cellules souches embryonnaires murines (mESCs) Ă  l'Ă©tat pluripotent mais devient essentielle lors de leur diffĂ©renciation. Le Y-complexe joue donc un rĂŽle majeur dans de multiples processus biologiques mais le rĂŽle spĂ©cifique de chacune de ses sous-unitĂ©s n’a pas Ă©tĂ© Ă©tudiĂ© en profondeur. En particulier, une nuclĂ©oporine, Seh1, est critique pour la localisation du Y-complexe et de plusieurs rĂ©gulateurs mitotiques clĂ©s, notamment Aurora B aux kinĂ©tochores. Dans ce contexte, Seh1 apparaĂźt comme un candidat intĂ©ressant, non seulement en raison de son implication en mitose, mais aussi parce qu'elle appartient Ă  un second sous-complexe, nommĂ© GATOR2, qui rĂ©gule indirectement la voie mTORC1. On ne sait toutefois pas si les fonctions mitotiques de Seh1 reposent sur sa localisation au niveau du pore, des kinĂ©tochores ou du complexe GATOR2. Les travaux rĂ©alisĂ©s au cours de cette thĂšse ont rĂ©vĂ©lĂ© que les mESCs Seh1-/- sont viables Ă  l'Ă©tat indiffĂ©renciĂ©, mais que leur viabilitĂ© est gravement compromise lors de la diffĂ©renciation. Nous avons constatĂ© que l'inactivation de Seh1 est associĂ©e Ă  un retard dans la progression mitotique et Ă  un allongement gĂ©nĂ©ral du cycle cellulaire. Contrairement aux Ă©tudes prĂ©cĂ©dentes, le retard mitotique des mESC Seh1-/- n'est pas liĂ© Ă  une dĂ©localisation du Y-complexe ni de la kinase Aurora B au niveau des kinĂ©tochores.Pour comprendre si ce retard est dĂ» Ă  un rĂŽle dans les NPC ou au sein du complexe GATOR2, j'ai ensuite conçu une stratĂ©gie visant spĂ©cifiquement Ă  altĂ©rer l'interaction entre Seh1 et Nup85 (∆N-Nup85), son partenaire direct dans le Y-complexe. Dans les mutants ∆N-Nup85 Seh1 n'est plus dĂ©tectable au niveau des kinĂ©tochores et est largement dĂ©localisĂ© du NPC. Cependant, les mESCs ∆N-Nup85 ne prĂ©sentent aucun dĂ©faut de division cellulaire ni pendant la diffĂ©renciation. D’autre part, j'ai constitutivement inactivĂ© Mios, un autre membre du complexe GATOR2. Les cellules Mios-/- rĂ©sultantes survivent pendant la diffĂ©renciation et aucun retard de croissance cellulaire n'a Ă©tĂ© observĂ©. En plus des dĂ©fauts mentionnĂ©s prĂ©cĂ©demment, nous avons observĂ© une diminution inattendue de la densitĂ© des NPC dans les cellules Seh1-/- et ∆N-Nup85, qui n'a cependant pas Ă©tĂ© observĂ©e dans le mutant Mios. Ceci indique une fonction de Seh1 dans la rĂ©gulation de l'assemblage des NPC. Remarquablement, nous avons Ă©galement observĂ© une rĂ©duction de la taille dues noyaux des mutants Seh1 qui n'est pas observĂ©e dans les mutants ∆N Nup85, ce qui pourrait reflĂ©ter un rĂŽle de Seh1 dans le complexe GATOR2. Mes recherches ont Ă©largi nos connaissances sur les diffĂ©rents rĂŽles de Seh1 et ont commencĂ© Ă  aborder la localisation critique de cette protĂ©ine.The nuclear pore complexes (NPCs) are large macromolecular structures embedded in the nuclear envelope, composed of around 30 different proteins called nucleoporins or Nups. Besides their function in regulating nucleo-cytoplasmic transport, several Nups have been reported to play essential roles in other unrelated processes such as chromatin organization, gene regulation, cell cycle control and cell differentiation. The Nup107 complex (also termed Y-complex) is the major structural component of the NPC and is composed of 9 distinct Nups. The Y-complex has been shown to also localize at kinetochores, where it contributes to cell cycle progression. Moreover, one of the components of the Y-complex, Nup133, is required for embryonic stem cell differentiation and proper mouse development. More recent data further indicated a function of Nup133 in the assembly of the nuclear pore basket that may underlie some of its functions. The Y-complex has thus appeared as a key player in multiple biological processes. However, the specific roles of each of its subunits have just started to be investigated. Among the subunits of the Y-complex, Seh1 has been previously reported to play a role in chromosome alignment and segregation in cancer cell lines, by recruiting the Y-complex and several key mitotic regulators (including notably Aurora B) to kinetochores. Interestingly, Seh1 also belongs to the unrelated GATOR2 complex, an essential activator of the mTORC1 kinase, a master regulator of cell growth and proliferation. It is however unknown whether the mitotic functions of Seh1 rely on its localization at the pore, at kinetochores, or the GATOR2-complex. Due to the increasing number of studies implicating nuclear pore components in regulatory processes, Seh1 appears as a good candidate for the coordination of cell cycle and possibly differentiation. My data has revealed that Seh1-/- mESCs are viable in pluripotent state, but that cell survival is severely impaired upon differentiation. Pluripotent Seh1-/- mESCs also feature a cell growth rate delay when in the pluripotent state, correlated with a small (10 min) mitotic delay and and lenghthening of the interphase lenght as compared to WT mESCs. In contrast to previous studies performed in HeLa cells, we observed that both the Y-complex and Aurora B are still properly targeted to kinetochores in these cells. To understand if this delay is due to a role at NPCs or within the GATOR2 complex, I designed a strategy to specifically impair the interaction between Seh1 and Nup85 (∆N-Nup85), its direct partner within the Y-complex. In the resulting ∆N-Nup85 mutants, Seh1 is no longer detectable at kinetochores and is largely mislocalized from the NPC. In parallel, I constitutively inactivated Mios, another member of the GATOR2 complex. Surprisingly, the resulting ∆N-Nup85 and Mios-/- cells did progress through differentiation and no cell growth delay was observed. Interestingly, we observed an unexpected decrease in NPC density in the Seh1-/- and ∆N-Nup85 mESCs that was in contrast not observed in the Mios-/-cells. This pointed to a function of Seh1 in the context of the Y-complex in the regulation of NPC assembly.We also observed a reduction in nuclear size in the Seh1 mutants that is not shared by the ∆-Nup85mutants but that could be consistent with a role of Seh1 within the GATOR2 complex. My research has expanded our knowledge regarding the different roles of Seh1 and has started to tease apart the relative contributions of this protein in its different subcellular contexts

    Integrity of the short arm of nuclear pore Y-complex is required for mouse embryonic stem cell growth and differentiation

    No full text
    Many cellular processes, ranging from cell division to differentiation, are controlled by nuclear pore complexes (NPCs). However, studying the contributions of individual NPC subunits to these processes in vertebrates has long been impeded by their complexity and the lack of efficient genetic tools. Here, we use genome editing in mouse embryonic stem cells (mESCs) to characterize the role of NPC structural components, focusing on the short arm of the Y-complex that comprises Nup85, Seh1 and Nup43. We show that Seh1 and Nup43, although dispensable in pluripotent mESCs, are required for their normal cell growth rates, their viability upon differentiation and for the maintenance of proper NPC density. mESCs with an N-terminally truncated Nup85 mutation (in which interaction with Seh1 is greatly impaired) feature a similar reduction of NPC density. However, their proliferation and differentiation are unaltered, indicating that it is the integrity of the Y-complex, rather than the number of NPCs, that is critical to ensure these processes

    Androgen receptor gene status in plasma DNA associates with worse outcome on enzalutamide or abiraterone for castration-resistant prostate cancer: a multi-institution correlative biomarker study

    Get PDF
    BACKGROUND: There is an urgent need to identify biomarkers to guide personalized therapy in castration-resistant prostate cancer (CRPC). We aimed to clinically qualify androgen receptor (AR) gene status measurement in plasma DNA using multiplex droplet digital PCR (ddPCR) in pre- and post-chemotherapy CRPC. METHODS: We optimized ddPCR assays for AR copy number and mutations and retrospectively analyzed plasma DNA from patients recruited to one of the three biomarker protocols with prospectively collected clinical data. We evaluated associations between plasma AR and overall survival (OS) and progression-free survival (PFS) in 73 chemotherapy-naïve and 98 post-docetaxel CRPC patients treated with enzalutamide or abiraterone (Primary cohort) and 94 chemotherapy-naïve patients treated with enzalutamide (Secondary cohort; PREMIERE trial). RESULTS: In the primary cohort, AR gain was observed in 10 (14%) chemotherapy-naïve and 33 (34%) post-docetaxel patients and associated with worse OS [hazard ratio (HR), 3.98; 95% CI 1.74–9.10; P A (p.L702H) and 2632A>G (p.T878A)] were observed in eight (11%) post-docetaxel but no chemotherapy-naïve abiraterone-treated patients and were also associated with worse OS (HR 3.26; 95% CI 1.47–not reached; P = 0.004). There was no interaction between AR and docetaxel status (P = 0.83 for OS, P = 0.99 for PFS). In the PREMIERE trial, 11 patients (12%) with AR gain had worse PSA-PFS (sPFS) (HR 4.33; 95% CI 1.94–9.68; P < 0.001), radiographic-PFS (rPFS) (HR 8.06; 95% CI 3.26–19.93; P < 0.001) and OS (HR 11.08; 95% CI 2.16–56.95; P = 0.004). Plasma AR was an independent predictor of outcome on multivariable analyses in both cohorts. CONCLUSION: Plasma AR status assessment using ddPCR identifies CRPC with worse outcome to enzalutamide or abiraterone. Prospective evaluation of treatment decisions based on plasma AR is now required. CLINICAL TRIAL NUMBER: NCT02288936 (PREMIERE trial)
    corecore